Program Manager for Quality – Mount Sinai Health Partners

Job Description

 

 

The Mount Sinai Health System

Program Manager for Quality

Background

 

Mount Sinai is one of the largest U.S. health systems with a strong reputation for quality of care (18th ranked hospital in the U.S.) and research/education (18th ranked medical school in the U.S.).  We have ~40,000 employees working together to provide billions of dollars in high-quality care each year for millions of patients.

 

We are accelerating a transition to a business model focused on population health management – our goal is to keep entire communities healthy and out of the hospital.  Mount Sinai Health Partners (MSHP) is the team driving this transformation within Mount Sinai.  The team includes 400+ employees with clinical, contracting, finance, IT, analytics, operations, and product development expertise.

 

MSHP is a fast growing business unit within Mount Sinai and is looking for team members who:

 

Are comfortable “playing up” and “playing down” as needed to accomplish business objectives

 

·         Work productively amidst ambiguity

·         Thrive in fast-paced  work environments

·         Seek to improve the status quo

 

Within MSHP, the Quality Team drives the implementation and ongoing improvement of initiatives that enable Mount Sinai to deliver better value to its patients, its customers (i.e., plan sponsors and payers), its providers, and its partners. At Mount Sinai, value is defined broadly and encompasses improved health outcomes, more efficient operations, better patient experience, more joyful care team environment, and improved financial performance. The Quality team works directly with the Chief Population Health Officer and Chief Clinical Integration Officer of Mount Sinai.

 

 

Role Summary

 

MSHP seeks a Program Manager for Quality to work directly with clinical and operational leadership to develop strategy, identify and track performance on key indicators, provide oversight and involvement in EMR technical enhancements and data delivery relating to quality performance and best practices, analyze performance against national benchmarks, plan content for physician education initiatives, and serve as the point of contact for the core Quality team and physician practice managers. The Program Manager will interact with a wide variety of stakeholders throughout the health system and prepare executive presentations about the Quality program’s financial and clinical impact. The Program Manager for Quality directly supervises the Clinical Quality Analyst and supports supervision of the Patient Navigator team.

 

Responsibilities

 

Team Structure & Management

·         Work directly with the Quality Director to support high-impact clinical and operational quality initiatives

·         Oversee Clinical Quality Analyst and Patient Navigator team to deploy patient outreach and strategy for meeting quality benchmarks

·         Support development and training of Clinical Quality Analyst and Patient Navigator Team

·         Serve as operational support for quality initiatives, contributing to all aspects, including strategy, process design, implementation, and ongoing evaluation and improvement

 

Strategy & Performance

·         Serve as operational support for quality initiatives, contributing to all aspects, including strategy, process design, implementation, and ongoing evaluation and improvement

·         Develop and report quality performance KPIs and trends collaboration with Analytics team

·         Structure and perform analyses to measure outcomes, communicate impact, and support strategic decision-making (i.e., financial, clinical, and claims analyses)

·         Perform research to inform project team of relevant background content and market trends; synthesizes research into applicable insights that drive effective decision-making

·         Create and effectively manage project work plans, coordinating across multiple stakeholders to ensure work is accomplished on time

·         Proactively and creatively address any challenges that may arise during project execution

 

Cross Team Collaboration

·         Interface with staff from across the health system (including clinical, contracting, IT, financial, legal, and operations), building collaborative relationships and serving as a face of the population health enterprise

·         Develop presentations that communicate the goals, content, and progress of strategic initiatives to leaders across the Population Health enterprise, the broader Mount Sinai Health System, and key external stakeholder groups

 

Market Research & Ad Hoc Support

·         Stay current on developments within the healthcare industry to understand where the market is moving, what innovation is leading the way, and what Mount Sinai can do to be the most innovative population health manager in New York City and a leader nationally

·         Provide ad hoc support to the Quality team to grow the program and support the overall population health enterprise

 

Qualifications     

 

Education and Experience

·         Bachelors' degree with at least 5 years of experience at a top tier management consulting firm or other industry that requires management of high-stakes, complex initiatives; Master’s degree can be substituted in lieu of work experience

·         Analytics capabilities required; High comfort with Microsoft Excel; Experience with healthcare claims analysis highly preferred

·         Previous experience with quality metrics (HEDIS, NCQA, PQRS) highly preferred

·         Interest in and demonstrated passion for healthcare required, experience with healthcare companies (e.g., delivery systems, insurance companies, start-ups) a plus

 

Additional Skills and Qualities

·         Analytic skillset – able to build models and perform data analysis across finance, business needs (e.g., market sizing), and health topics (e.g., claims analysis) with guidance from Quality Director

·         Effective communicator – excellent written and verbal communication; able to summarize analyses in a way that simplifies complex ideas and synthesize research into insights

·         Project and Team Management – able to develop and execute project strategy in adherence to timelines while creating workflows that enable and enhance team development

·         Organized – meticulous and detail-oriented; consistently meets timelines and objectives; can handle multiple projects at once

·         Reliable – delivers high-quality work and accurate analyses; raises questions or concerns in a timely manner

·         Mature professional – seen as a mature team member, interacts with internal and external stakeholders independently and in a professional manner

·         Strategic thinker – natural strategic thinker that understands how individual project activities fit within and contribute to overall initiatives

·         Problem solver – responds to problems with suggested solutions; sound judgment and decision-making abilities

·         Flexible team player – able to collaborate well with diverse set of team members, comfortable working in a start-up environment (which requires all team members to have the willingness to get things done)

·         Passionate innovator – desire to join a fast-paced, growth-oriented environment with a passion for delivering superior health value and improving health care in the US

 


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